机构:[1]Department of Neuropathology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China研究所北京市神经外科研究所首都医科大学附属天坛医院[2]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China重点科室诊疗科室神经外科神经外科首都医科大学附属天坛医院[3]Center of Brain Tumor, Beijing Institute for Brain Disorders, Beijing, China
Background. Epilepsy is the most common symptom in patients with supratentorial low-grade gliomas (LGGs), which adversely affects the patient's quality of life. Poor seizure control with anti-epileptic therapy is an indication for surgery in these patients. Recent studies have sought to identify predictors of postoperative seizure control after surgical resection of LGG; gross total resection was shown to be a significant predictor in this respect. However, the prognostic value of other factors is not clear. Methods. We performed a systematic review and meta-analysis of 23 studies with a combined study population of 2641 patients with LGG, in order to identify potential factors associated with favorable postoperative seizure control. Data were extracted on age and sex of patient, tumor location, tumor histology, type of seizure, seizure duration, extent of resection, and imaging characteristics. Results. Patients >= 45 years of age achieved better postoperative seizure control (risk ratio [RR], 0.89; 95% CI, 0.81-0.99). Focal seizures were associated with poor seizure control (RR, 1.32; 95% CI, 1.18-1.49) compared with generalized seizures (RR, 0.77; 95% CI, 0.68-0.87). Prolonged history of seizures (>= 1 y) had a negative impact on postoperative seizure control (RR, 1.22; 95% CI, 1.10-1.34). Gross total resection was superior to subtotal resection with respect to postoperative seizure control (RR, 0.68; 95% CI, 0.63-0.73). Conclusions. This systematic review and meta-analysis identified predictors of postoperative seizure control in patients undergoing surgical resection of LGGs. Our results provide a reference for clinical treatment of LGG-related epilepsy.
基金:
National Key Research and Development Plan [2016YFC0902500]; National High Technology Research and Development ProgramNational High Technology Research and Development Program of China [2015CB755500]; National Natural Science Foundation of ChinaNational Natural Science Foundation of China [81601452]
第一作者机构:[1]Department of Neuropathology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China
通讯作者:
通讯机构:[1]Department of Neuropathology, Beijing Neurosurgical Institute, Capital Medical University, Beijing, China[2]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, Beijing, China[3]Center of Brain Tumor, Beijing Institute for Brain Disorders, Beijing, China[*1]Department of Neuropathology, Beijing Neurosurgical Institute, Capital Medical University, No. 6 Tiantanxili, Beijing, 100050, China[*2]Department of Neurosurgery, Beijing Tiantan Hospital, Capital Medical University, No. 6 Tiantanxili, Beijing, 100050, China
推荐引用方式(GB/T 7714):
Xia Shan,Xing Fan,Xing Liu,et al.Clinical characteristics associated with postoperative seizure control in adult low-grade gliomas: a systematic review and meta-analysis[J].NEURO-ONCOLOGY.2018,20(3):324-331.doi:10.1093/neuonc/nox130.
APA:
Xia Shan,Xing Fan,Xing Liu,Zheng Zhao,Yinyan Wang&Tao Jiang.(2018).Clinical characteristics associated with postoperative seizure control in adult low-grade gliomas: a systematic review and meta-analysis.NEURO-ONCOLOGY,20,(3)
MLA:
Xia Shan,et al."Clinical characteristics associated with postoperative seizure control in adult low-grade gliomas: a systematic review and meta-analysis".NEURO-ONCOLOGY 20..3(2018):324-331